EXACERBATED TOURETTE SYNDROME DIAGNOSED IN ADULTHOOD AFTER RECURRENT BILATERAL RETINAL DETACHMENT

• Published in: Retinal cases & brief reports Vol. 18; no. 4; p. 488
• Main Authors: Mito, Tsuyoshi, Okemoto, Hajime, Kawasaki, Akane, Sasaki, Hiroshi
• Format: Journal Article
• Language: English
• Published: United States 01.07.2024
• Subjects: Adult; Humans; Lens Subluxation - diagnosis; Lens Subluxation - etiology; Male; Recurrence; Retinal Detachment - diagnosis; Retinal Detachment - etiology; Self-Injurious Behavior - complications; Self-Injurious Behavior - diagnosis; Tourette Syndrome - complications; Tourette Syndrome - diagnosis; Vitrectomy
• ISSN: 1937-1578
• DOI: 10.1097/ICB.0000000000001421

The purpose of this study was to report a case of Tourette syndrome, exacerbated in adulthood, that was diagnosed after bilateral lens luxation and recurrent retinal detachment due to self-injury. This was a case report. A 35-year-old man presented with a sudden abnormality in vision and bilateral lens luxation. The patient successfully underwent bilateral lens extraction and intrascleral intraocular lens fixation; however, vitreous hemorrhage and retinal detachment occurred in the left eye. The retinal detachment was caused by a giant retinal tear and retinal dialysis. Vitrectomy was performed. However, retinal detachment recurred with proliferative vitreoretinopathy. Retinal detachment subsequently occurred in the right eye. Self-injury to the eye was observed before surgical treatment. The patient was consequently diagnosed with Tourette syndrome. Tourette syndrome, which may be accompanied by self-injurious behavior, is a disorder that typically develops in childhood but rarely exacerbates during adulthood. A diagnosis of Tourette syndrome should be considered in cases of unexplained retinal detachment with traumatic features.